DR. SCOTT MCCAULEY (DPT, ECS) – Physical Therapist, NPI 1104072065

DR. SCOTT MCCAULEY (DPT, ECS) is a healthcare provider. based in Grapevine, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT, ECS. They hold a License No. 43805 (TX). The NPI Number for DR. SCOTT MCCAULEY (DPT, ECS) is 1104072065

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. SCOTT MCCAULEY (DPT, ECS)
NPI
1104072065
Phone
(817) 719-7714
Address
1952 N PORT CT
Enumeration Date
12 August 2008
Last Update Date
27 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8177197714
Graduation Year
2008 (18 years ago)
PAC ID
8628131117
Group Practice PAC ID
2365794609
Professional Enrollment ID
I20230228000706
Address ID
TX761043946FO1001XAVEX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:17State licenses:2Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for DR. SCOTT MCCAULEY (DPT, ECS)

  • 1952 N PORT CT

    GRAPEVINE, TX 760517168

    Phone: (817) 719-7714

    Fax: (817) 796-1114

    Type: Mailing

  • 1001 12TH AVE STE 201

    FORT WORTH, TX 761043946

    Phone: (817) 719-7714

    Fax: (817) 796-1114

    Type: Location

  • Sawtelle Boulevard, Sawtelle, Los Angeles, Los Angeles County, California, 90230, United States

    UNIT 140

    LOS ANGELES, CA 900664833

    Phone: (970) 691-3504

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-02-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230228000706IPhysical Therapist In Private PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76051)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365794609View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeSC
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Qualified Speech Language PathologistTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

Is there an official ID for DR. SCOTT MCCAULEY (DPT, ECS) in U.S. healthcare records?
The official identifier for DR. SCOTT MCCAULEY (DPT, ECS) is NPI 1104072065.
Is there an active status for DR. SCOTT MCCAULEY (DPT, ECS)?
For scheduling context, DR. SCOTT MCCAULEY (DPT, ECS) is shown as active in the registry.
How would a patient describe DR. SCOTT MCCAULEY (DPT, ECS)'s focus?
For DR. SCOTT MCCAULEY (DPT, ECS), the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. SCOTT MCCAULEY (DPT, ECS)?
Travel planning: use Grapevine, Texas as the reference point for DR. SCOTT MCCAULEY (DPT, ECS), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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